Individual
ERIC ANCHETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34101 FARENHOLT AVE, SAN DIEGO, CA 92134-7000
(562) 552-0630
Mailing address
3183 CHATELAIN PL, SAN DIEGO, CA 92123-2041
(562) 552-0630
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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